CCN: 327810 NPI: 1578177887 Organization

Valencia Healing at Home LLC

101 LIVINGSTON LOOP STE C4
SANTA TERESA, NM 880089753

Contact Information

Phone 5753329396
Fax 5753329399
Enumeration Date 2020-09-03
Last Updated 2024-06-14

Taxonomies

Code: 251C00000X
Code: 251J00000X
Code: 253Z00000X
Code: 372600000X
Code: 3747P1801X
Code: 374U00000X
Code: 376J00000X
Code: 251E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 8

cbsaActualGeographicLocation 29740

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 29740

providerType 36

specialPaymentIndicator

carrierCode 04212

localityCode 05

cbsaActualGeographicLocation 29740

providerType 36

specialPaymentIndicator

carrierCode 04212

localityCode 05

cbsaActualGeographicLocation 29740

providerType 36

specialPaymentIndicator

carrierCode 04212

localityCode 05